Provider Demographics
NPI:1558839449
Name:CARBONE, PAULA DENYSE (RN)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:DENYSE
Last Name:CARBONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2907
Mailing Address - Country:US
Mailing Address - Phone:203-901-2871
Mailing Address - Fax:
Practice Address - Street 1:5 SCIENCE PARK STE 2
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-1989
Practice Address - Country:US
Practice Address - Phone:203-777-8648
Practice Address - Fax:203-785-0617
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT124736163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health